Vücut ve kulak akupunkturu kombinasyon tedavisinin obezite kontrolündeki etkilerinin değerlendirilmesi: retrospektif bir çalışma
Abstract
Amaç: Bu çalışmanın amacı, obezite kontrolünde vücut (abdominal) ve kulak akupunkturu kombinasyon tedavisinin antropometrik ölçümler ve kan parametreleri üzerindeki etkilerini retrospektif olarak değerlendirmektir.
Gereç ve Yöntem: Bu çalışma tanımlayıcı, kesitsel ve retrospektif bir çalışmadır. Bu çalışma 01.05.2019 – 15.02.2020 tarihleri arasında obezite merkezine başvuran ve akupunktur yaptırmak isteyen hastaların hasta dosyaları retrospektif olarak taranarak yapılmıştır. .
Bulgular: Seçilen 10 nokta vardır: Shenmen (HT7, ruh kapısı), sıfır noktası, ince bağırsak, kalın bağırsak, mide, yemek borusu, ağız, iştah kontrolü (açlık), antidepresan ve dalak noktası. Obezite tedavisi için hastalara uygulanan karın akupunktur noktaları bu çalışmada gösterilmiştir. Seçilen 6 nokta vardır: ST 25, ST 26, REN 12 (CV12), REN 10 (CV10), REN 6 (CV6), REN 4 (CV4). Sonuçlar, kombine kulak ve karın akupunkturunun, akupunktur grubundaki tüm katılımcılarda önemli kilo kaybı ile sonuçlandığını göstermektedir Akupunktur uygulanan hastaların ortalama yüksek dansiteli lipoprotein kolesterol (HDL-K) puan ortalamalarının anlamlı olarak daha yüksek olduğu saptandı. Akupunktur uygulanan hastaların ortalama düşük yoğunluklu lipoprotein kolesterol (LDL-K) skorunun akupunktur uygulanmayan hastalara göre anlamlı olarak düşük olduğu saptandı.
Sonuç: Obez bireylerde kilo kaybı için 3 ay süreyle uygulanan kulak ve karın akupunktur uygulamalarının belirgin kilo kaybı sağlamasının yanı sıra bel/kalça oranında belirgin azalma ve diğer tüm kan parametrelerinde düzelme sağladığı saptanmıştır.
Keywords
Thanks
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References
- Zhong YM, Luo XC, Chen Y, Lai DL, Lu WT, Shang YN et al. Acupuncture versus sham acupuncture for simple obesity: a systematic review and meta-analysis. Postgrad Med J. 2020;96:221-7.
- Lopez KN, Knudson JD. Obesity: from the agricultural revolution to the contemporary pediatric epidemic. Congenit Heart Dis. 2012;7:189–99.
- World Health Organization. https://www.who.int/news/item/04-03-2022-world-obesity-day-2022-accelerating-action-to-stop-obesity//. [Accessed 07 Nov 2022].
- Yıldırım Dİ, Eryılmaz MA. Obezite Merkezine Başvuran Hasta Profilinin ve Hastalara Verilen Eğitim Etkinliğinin Değerlendirilmesi. Ankara Med J. 2020;20:327-36.
- Tseng, CC, Tseng A, Chang, CH. Effect of laser acupuncture on obesity: study protocol for a randomized controlled trial. Trials. 2015;16:1-6.
- Kim SK, Bae H, Lee G, Jeong H, Woo HS, Han JB et al. The endogenous CCK mediation of electroacupuncture stimulation-induced satiety in rats. Peptides. 2008;29:564–70.
- Wang YY, Liang FX, Chen L, Lu W, Zhou YD, Huang XX et al. Electroacupuncture improves obesity by lowering gastrointestinal motility, blood lipids and expression of intestinal leptin and cholecystokinin in obese rats. Acupuncture Res. 2020;45:875–81.
- Xu L, Ding C, Chen J, Tan R, Chen D, Xu S et al. Efficacy difference between warming acupuncture and other acupuncture methods for primary obesity: a meta-analysis. Zhongguo Zhen Jiu. 2018;38:1019–26.
- Sui Y, Zhao HL, Wong VC, Brown N, Li XL, Kwan AK et al. A systematic review on use of Chinese medicine and acupuncture for treatment of obesity. Obes Rev. 2012;13:409–30.
- Cho S, Lee J, Thabane L, Lee J. Acupuncture for obesity: a systematic review and meta-analysis. Int J Obes. 2009;33:183–96.
- Lin XM, Li B, Du YH, Xiong J, Sun P.Systematic evaluation of therapeutic effect of acupuncture for treatment of simple obesity. Zhongguo Zhen Jiu. 2009;29:856–60.
- Zhong LD, Wai Kun, Tsz FL, Shi PZ, Jun JY, Tat CZ. The combination effects of body acupuncture and auricular acupressure compared to sham acupuncture for body weight control: study protocol for a randomized controlled trial. Trials. 2016;17:1-7.
- Zhang RQ, Tan J, Li FY, Ma YH, Han LX, Yang XL. Acupuncture for the treatment of obesity in adults: a systematic review and meta-analysis. Postgrad Med J. 2017;93:743–51.
- Set T, Cayir Y, Güven Pirim AB. Effects of ear acupuncture therapy for obesity on the depression of obese women. Acupuncture in Med. 2014;32:427-29.
- Hsieh CH, Su T-J, Fang Y-W et al. Effects of auricular acupressure on weight reduction and abdominal obesity in Asian young adults: a randomized controlled trial. The American J Chinese Med. 2011;39:433-40.
- Zhong LLD, Zhang S, Wong E, Cao C, Bian ZX. Electro-acupuncture for central obesity: abridged secondary publication. Hong Kong Med J. 2023;29:33-4.
Evaluation of the effects of body and auricular acupuncture combination therapy in obesity control: a retrospective study
Abstract
Purpose: The aim of this study is to retrospectively evaluate the effects of body (abdominal) and auricular acupuncture combination therapy on anthropometric measurements and blood parameters in obesity control.
Materials and Methods: This study is a descriptive, cross-sectional and retrospective study. This study was carried out by retrospectively scanning the patient files of the patients who applied to the obesity center between 01.05.2019 and 15.02.2020 and wanted to have acupuncture.
Results: There are 10 points selected: Shenmen (HT7, spirit gate), point zero, small intestine, large intestine, stomach, esophagus, mouth, appetite control (hunger), antidepressant and spleen point. The abdominal acupuncture points applied to the patients for the treatment of obesity are shown in this study. There are 6 points selected: ST 25, ST 26, REN 12 (CV12), REN 10 (CV10), REN 6 (CV6), REN 4 (CV4). The results show that combined ear and abdominal acupuncture resulted in significant weight loss in all participants in the acupuncture group. The mean high-density lipoprotein cholesterol (HDL-C) mean scores of the patients who underwent acupuncture were significantly higher whereas the mean low-density lipoprotein cholesterol (LDL-C) scores was significantly lower than the patients who did not receive acupuncture.
Conclusion: Ear and abdominal acupuncture applications applied for three months for weight loss in obese individuals provided significant weight loss, along with a significant decrease in waist/hip ratio and improvement in all other blood parameters.
Keywords
References
- Zhong YM, Luo XC, Chen Y, Lai DL, Lu WT, Shang YN et al. Acupuncture versus sham acupuncture for simple obesity: a systematic review and meta-analysis. Postgrad Med J. 2020;96:221-7.
- Lopez KN, Knudson JD. Obesity: from the agricultural revolution to the contemporary pediatric epidemic. Congenit Heart Dis. 2012;7:189–99.
- World Health Organization. https://www.who.int/news/item/04-03-2022-world-obesity-day-2022-accelerating-action-to-stop-obesity//. [Accessed 07 Nov 2022].
- Yıldırım Dİ, Eryılmaz MA. Obezite Merkezine Başvuran Hasta Profilinin ve Hastalara Verilen Eğitim Etkinliğinin Değerlendirilmesi. Ankara Med J. 2020;20:327-36.
- Tseng, CC, Tseng A, Chang, CH. Effect of laser acupuncture on obesity: study protocol for a randomized controlled trial. Trials. 2015;16:1-6.
- Kim SK, Bae H, Lee G, Jeong H, Woo HS, Han JB et al. The endogenous CCK mediation of electroacupuncture stimulation-induced satiety in rats. Peptides. 2008;29:564–70.
- Wang YY, Liang FX, Chen L, Lu W, Zhou YD, Huang XX et al. Electroacupuncture improves obesity by lowering gastrointestinal motility, blood lipids and expression of intestinal leptin and cholecystokinin in obese rats. Acupuncture Res. 2020;45:875–81.
- Xu L, Ding C, Chen J, Tan R, Chen D, Xu S et al. Efficacy difference between warming acupuncture and other acupuncture methods for primary obesity: a meta-analysis. Zhongguo Zhen Jiu. 2018;38:1019–26.
- Sui Y, Zhao HL, Wong VC, Brown N, Li XL, Kwan AK et al. A systematic review on use of Chinese medicine and acupuncture for treatment of obesity. Obes Rev. 2012;13:409–30.
- Cho S, Lee J, Thabane L, Lee J. Acupuncture for obesity: a systematic review and meta-analysis. Int J Obes. 2009;33:183–96.
- Lin XM, Li B, Du YH, Xiong J, Sun P.Systematic evaluation of therapeutic effect of acupuncture for treatment of simple obesity. Zhongguo Zhen Jiu. 2009;29:856–60.
- Zhong LD, Wai Kun, Tsz FL, Shi PZ, Jun JY, Tat CZ. The combination effects of body acupuncture and auricular acupressure compared to sham acupuncture for body weight control: study protocol for a randomized controlled trial. Trials. 2016;17:1-7.
- Zhang RQ, Tan J, Li FY, Ma YH, Han LX, Yang XL. Acupuncture for the treatment of obesity in adults: a systematic review and meta-analysis. Postgrad Med J. 2017;93:743–51.
- Set T, Cayir Y, Güven Pirim AB. Effects of ear acupuncture therapy for obesity on the depression of obese women. Acupuncture in Med. 2014;32:427-29.
- Hsieh CH, Su T-J, Fang Y-W et al. Effects of auricular acupressure on weight reduction and abdominal obesity in Asian young adults: a randomized controlled trial. The American J Chinese Med. 2011;39:433-40.
- Zhong LLD, Zhang S, Wong E, Cao C, Bian ZX. Electro-acupuncture for central obesity: abridged secondary publication. Hong Kong Med J. 2023;29:33-4.
Details
| Primary Language | English |
|---|---|
| Subjects | Pain, Internal Diseases |
| Journal Section | Research |
| Authors | |
| Early Pub Date | September 25, 2023 |
| Publication Date | September 30, 2023 |
| Acceptance Date | August 20, 2023 |
| Published in Issue | Year 2023 Volume: 48 Issue: 3 |
